Individual
GAIL MARIE JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
(541) 385-8050
Mailing address
2450 NE MARY ROSE PL, SUITE 220, BEND, OR 97701-7132
(541) 385-8050
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
098007266N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028171
—
OR
Enumeration date
07/06/2006
Last updated
04/15/2008
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